{"id":502,"date":"2026-01-20T12:00:00","date_gmt":"2026-01-20T12:00:00","guid":{"rendered":"https:\/\/california.shuster.info\/?p=502"},"modified":"2026-01-20T12:00:00","modified_gmt":"2026-01-20T12:00:00","slug":"kyoko-mh-bisignano-cd-cal-ssi-denial-step-two-symptom-testimony-harmless-error","status":"publish","type":"post","link":"https:\/\/california.shuster.info\/?p=502","title":{"rendered":"Kyoko M.H. v. Bisignano \u2014 C.D. Cal. Affirms SSI Denial, Holding Step-Two and Symptom-Testimony Errors Were Harmless"},"content":{"rendered":"<div class=\"case-meta\">\n<dl>\n<dt>Case<\/dt>\n<dd>Kyoko M.H. v. Frank Bisignano, Commissioner of Social Security<\/dd>\n<dt>Court<\/dt>\n<dd>U.S. District Court \u2014 Central District of California<\/dd>\n<dt>Date Decided<\/dt>\n<dd>2026-01-20<\/dd>\n<dt>Docket No.<\/dt>\n<dd>5:25-cv-01003-JDE<\/dd>\n<dt>Status<\/dt>\n<dd>Unreported \/ Non-Citable<\/dd>\n<dt>Topics<\/dt>\n<dd>Social Security, SSI, step-two severity finding, harmless error, foot impairments, obesity, symptom testimony, medical opinion evidence<\/dd>\n<\/dl>\n<\/div>\n<h2>Background<\/h2>\n<p>Kyoko H. applied for Supplemental Security Income (SSI) \u2014 the federal disability program for low-income individuals. The administrative law judge (ALJ) found her severe impairments included degenerative disc disease of the cervical and lumbar spine and rheumatoid arthritis, and concluded she retained the residual functional capacity (RFC) for work despite her conditions. The ALJ denied benefits. Kyoko sought judicial review under 42 U.S.C. \u00a7 405(g), raising three issues: (1) failure to find her foot impairments (calcaneal spurs, collapsed arches, and bunions) and obesity severe at step two of the disability analysis; (2) inadequate reasons for partially rejecting her symptom testimony; and (3) improper evaluation of the medical opinion of Dr. Maximous.<\/p>\n<h2>The Court&rsquo;s Holding<\/h2>\n<p>The court affirmed the denial of benefits.<\/p>\n<p>On the step-two challenge, the court held that even if the ALJ erred in not finding foot impairments and obesity \u201csevere,\u201d any error was harmless under Hoopai v. Astrue and Burch v. Barnhart. Step two functions only as a \u201cgatekeeping\u201d screen designed to dispose of groundless claims; once the ALJ found other severe impairments and proceeded through the remaining steps, the absence or presence of additional severe impairments at step two becomes inconsequential \u2014 especially because the ALJ explicitly considered Kyoko\u2019s foot-related issues and obesity at the RFC stage. The ALJ noted normal foot X-rays apart from a 4mm calcaneal spur, Kyoko\u2019s reported four-times-weekly treadmill use, independent personal care, and completion of household chores, and concluded she had \u201cfully considered the effects of obesity\u201d in the RFC.<\/p>\n<p>On the symptom-testimony challenge, the court applied the Ninth Circuit\u2019s \u201cmost demanding\u201d clear-and-convincing standard, but found the ALJ provided adequate reasons. (The opinion sets forth the standard in detail and addresses the ALJ\u2019s specific reasoning.)<\/p>\n<p>On the medical-opinion challenge, the court applied the post-2017 regulations, which require an ALJ to evaluate medical opinions for supportability and consistency without giving any source automatic deference. The ALJ\u2019s explanation of why Dr. Maximous\u2019s opinion was unpersuasive was supported by substantial evidence and was not \u201csecond-guessed\u201d on review.<\/p>\n<p>Together, these conclusions led the court to affirm the Commissioner\u2019s decision and dismiss the action.<\/p>\n<h2>Key Takeaways<\/h2>\n<ul>\n<li>Step two of the disability sequential evaluation is a \u201cgatekeeping\u201d screen; once the ALJ finds at least one severe impairment and proceeds, failure to identify additional severe impairments is generally harmless.<\/li>\n<li>The ALJ\u2019s consideration of an impairment in formulating the residual functional capacity (RFC) cures any step-two omission of that impairment.<\/li>\n<li>Daily activities like treadmill exercise, household chores, and independent personal care can support an ALJ\u2019s decision not to add work-restrictive limitations.<\/li>\n<li>Under post-2017 regulations, ALJs evaluate medical opinions for supportability and consistency rather than giving treating sources automatic deference.<\/li>\n<li>The \u201cclear and convincing\u201d standard for symptom testimony \u2014 \u201cthe most demanding\u201d in Social Security cases \u2014 does not require the reviewing court to be convinced; it asks whether the ALJ\u2019s rationale has the \u201cpower to convince.\u201d<\/li>\n<\/ul>\n<h2>Why It Matters<\/h2>\n<p>This decision reinforces the Ninth Circuit\u2019s harmless-error doctrine at step two of the Social Security disability analysis. Plaintiffs often argue that the ALJ overlooked a particular condition, but unless that omission infects the later RFC determination, the appeal will not succeed.<\/p>\n<p>For practitioners representing claimants, the case underscores the importance of focusing on the RFC analysis itself \u2014 does the ALJ\u2019s functional capacity determination actually account for the omitted condition? \u2014 rather than relying on step-two arguments alone. For ALJs, the order shows that explicit acknowledgment of contested impairments at the RFC stage will protect the decision against step-two challenges on review.<\/p>\n<p><a href=\"recap\/gov.uscourts.cacd.967514\/gov.uscourts.cacd.967514.23.0.pdf\">Read the full opinion (PDF)<\/a> &middot; <a href=\"https:\/\/www.courtlistener.com\/opinion\/10841870\/kyoko-m-h-v-frank-bisignano-commissioner-of-social-security\/\">Court docket<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Central District of California affirms denial of supplemental security income, holding that any step-two error in failing to find a claimant\u2019s foot impairments and obesity \u201csevere\u201d was harmless because the ALJ proceeded through the remaining steps and considered those conditions in the residual functional capacity analysis.<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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